ATI RN COMPREHENSIVE PREDICTOR 180 QUESTIONS WITH 100% CORRECT ANSWERS, Exams of Nursing

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ATI RN COMPREHENSIVE

PREDICTOR 180 QUESTIONS WITH

100% CORECT ANSWERS

1. A nurse is administering digoxin 0.125 mg Po to an adult client. For which of the following findings should the nurse report to the provider? A. Potassium level 4.2 mEq/L.

B. Apical pulse 58/min. C. D igoxin level 1 ng/ml. D. Constipation for 2 days.

2. A nurse is caring for a client who is comatose and has advance directives that indicate the client does not want life-sustaining measures. The client’s family want the client to have life-sustaining measures. Which of the following action should the nurse take?

A .Arrange for an ethics committee meeting to address the family’s concerns.

B. Support the family’s decision and initiate life-sustaining

measures.C.. Complete an incident report.

D.. Encourage the family to contact an attorney.

3. A nurse is caring for a client who wears glasses. Which of the following actions should the nurse take? A. S tore the glasses in a labeled case. B. Clean the glasses with hot water. C. Clean the glasses with a paper towel. D. Store the glasses on the bedside table.
4. A nurse is administering digoxin 0.125 mg Po to an adult client. For which of the following findings should the nurse report to the provider? A. Potassium level 4.2 mEq/L.

E. Apical pulse 58/min. F. D igoxin level 1 ng/ml. G. Constipation for 2 days.

5. A nurse is teaching a group of newly licensed nurses about measures to take when caring for a client who ison contact precautions. Which of the following should the nurse include in the teaching? A. Remove the protective gown after the client’s room. B. Place the client in a room with negative pressure.C. W ear gloves when providing care

to the client. D. Wear a mask when changing the linens in the client’s room.

6. A nurse is planning on care for a client who is recovering from an acute myocardial infarction thatoccurred 3 days ago. Which of the following instructions should the nurse include?

A. Perform an ECG every 12 hr.

B. Place the client in a supine position while resting. C. Draw a troponin level every 4hr. D. O btain a cardiac rehabilitation consultation.

7. The nurse is reviewing the medical record of a client who is requesting combination oral

contraceptives. Which of the following conditions in the client’s history is a contradiction to the use of

oral contraceptives?

A. Hyperthyroidism.

B.

Thrombophlebitis. C

. Diverticulosis.

D. Hypocalcemia.

8. A nurse is caring for a client who request the creation of a living will. Which of the following actions should the nurse take?

A. Schedule a meeting between the hospital ethics committee and the

client.B. E valuate the client’s understanding of life-sustaining measures.

C. Determine the client’s preferences about post mortem care.

D. Request a conference with the client’s family.

9. A nurse is caring for an adolescent who has sickle-cell anemia. Which of the following

manifestations indicates acute chest syndrome and should be immediately reported to the

provider?

A. Substerna

lr etractions.

B. Hematuria. C. Temperature 37.9 C (100.2 F). D. Sneezing.

10. A nurse is preforming a gastric lavage for a client who has upper gastrointestinal bleeding. Which of the .following action should the nurse take?

A. Instill 500 ml of solution through the NG tube. B. I nsert a large-bore NG tube. C. Use a cold irrigation solution. D. Instruct the client to lie on his right side.

11. A nurse is providing care for a client who is in the advance stage of amyotrophic lateral sclerosis. (ALS). Which of the following referrals is the nurse’s priority? A. Psychologist. B. Social worker. C. Occupational therapist. D. S peech-language pathologist.
12. A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis. Which ofthe following findings should the nurse report to the provider? A. WBC count 8,000/mm3.

B. Platelets 150,000/mm3. C. Aspartate aminotransferase 10 units/L. D. E rythrocyte sedimentation rate 75 mm/hr

13. A nurse is caring for a client who has generalized petechiae and ecchymoses. The nurse should expecta prescription for which of the following laboratory tests? A. Platelet count. B. Potassium level. C. Creatine clearance. D. Prealbumin.
14. A nurse is caring for a client following application of a cast. Which of the following actions should the nurse take first?

A. Place an ice pack over the cast. B. P alpate the pulse distal to the cast. C. Teach the client to keep the cast clean and dry. D. Position the casted extremity on a pillow.

15. A nurse is caring for a client who has vision loss. Which of the following actions should the nurse take?

(Select all that apply)

A.. Keep objects in the client’s room in the same place.

B.. Ensure there is high-wattage lighting in the

client’sroom. C. Approach the client from the side.

D. Allow extra time for the client to perform

tasks. E. Touch the client gently to announce

presence.

16. A nurse is caring for a client who is newly diagnosed with pancreatic cancer and has questions about thedisease. To research the nurse should identify that which of the following electronic database has the most comprehensive collection of nursing (Unable to read) articles?

A. MEDLINEB.

C INAHL.

C. ProQuest.

D. Health Source.

17. A nurse in an emergency department is assessing newly admitted client who is experiencing drooling

and hoarseness following a burn injury. Which of the following should actions should the nurse take

first?

A. Obtain a baseline ECG. B. Obtain a blood specimen for ABG analysis. C. Insert an 18-gauge IV catheter. D. A dminister 100% humidified oxygen.

18. A nurse is planning care for a client who has unilateral paralysis and dysphagia following a right hemispheric stroke. Which of the following interventions should the nurse include in the plan? A. Place food on the left side of the client’s mouth when he is ready to eat.

B. Provide total care in performing the client’s ADLs. C. Maintain the client on bed rest. D. P lace the client’s left arm on a pillow while he is sitting.

19. A nurse is caring for a client who is in a seclusion room following violent behavior. The client continues to display aggressive behavior. Which of the following actions should the nurse take? A.. Confront the client about this behavior.

B. Express sympathy for the client’s situation. C. Speak assertively to the client. D. Stand within 30 cm (1 ft) of the client when speaking with them.

20. A nurse is caring for a client who is receiving brachytherapy for treatment of prostate cancer. Which of thefollowing actions should the nurse take? A. Cleanse equipment before removal from the client’s room. B. L imit the client’s visitors to 30 min per day. C. Discard the client’s linens in a double bag.

Discard the radioactive source in a biohazard bag

21. A nurse is assessing a client who has left-sided heart failure. Which of the following should the

nurseidentify as a manifestation of pulmonary congestion? A. Frothy, pink sputum. B. Jugular vein distention. C. Weight gain.

D. Bradypnea

22. A nurse is caring for a client who is in labor and requires augmentation of labor. Which of the following

conditions should the nurse recognize as a contraindication to the use of oxytocin. A. Diabetes mellitus. B. Shoulder presentation. C. P ostterm with oligohydramnios. (I think Maternal Newborn Chapter 15 page 100)

D. Chorioamnionitis

23. A nurse is assessing a client who has left-sided heart failure. Which of the following should the nurseidentify as a manifestation of pulmonary congestion?

A. Frothy, pink sputum.

D. Jugular vein distention.

E. Weight gain.

.Bradypnea

24. A nurse is caring for a 5-month-old infant who has manifestations of severe dehydration and a prescription for paternal fluid therapy. The guardian asks. “What are the indications that my baby needs an IV?” Which ofthe following responses should the nurse make?

A. “Your baby needs an IV because she is not producing any

tears” B. “Your baby needs an IV because her fontanels are

budging”

C. “Your baby needs an IV because she is breathing slower than

normal” D. “Your baby needs an IV because her heart rate is

decreasing”

25. A nurse is providing teaching to a client who has heart failure and a new prescription for furosemide. Whichof the following statements should the nurse make? A. “Taking furosemide can cause your potassium levels to be high” B. “Eat foods that are high in sodium” C. “ Rise slowly when getting out of bed” D. “Taking furosemide can cause you to be overhydrated”

26. A nurse is creating a plan of care for a newly admitted client who has obsessive-compulsive disorder.

Whichof the following interventions should the nurse take?

A. Allow the client enough time to perform rituals. B. Give the client autonomy in scheduling activities. C. Discourage the client from exploring irrational fears.

D. Provide negative reinforcement for ritualistic behaviors.

27. A nurse is caring for a client who has depression and reports taking ST. John’s wort along with citalopram. The nurse should monitor the client for which of the following conditions as a result of an interaction betweenthese substances? A. Serotonin

syndrome B. Tardive

dyskinesia

C. Pseudo parkinsonism.

D. Acute dystonia.

28. A nurse is assessing a client who is receiving packed RBCs. Which of the following findings indicate fluid overload? A. Low back pain. B. D yspnea. C. Hypotension. D. Thready pulse.
29. A nurse is calculating a client’s expected date of delivery. The client’s last menstrual period began on April . Using Nagele’s rule, what date should the nurse determine to be the client’s expected delivery date? (Use mmdd format.)

0 119 date

30. A nurse is discussing group treatment and therapy with a client. The nurse should include which

ofthe following as being a characteristic of a therapeutic group?

A. The group is organized in an autocratic structure.

B. The group encourages members to focus on a particular issue. (Mental Health Chapter 8

Page42)

C. The group must be led by a licensed psychiatrist. D. The group encourages clients to form dependent relationships.

31. A nurse manger is reviewing documentation with a newly licensed nurse. Which of the following notationsby the newly licensed nurse indicates an understanding of the teaching.

U NSURE IF ON THE REPORT

A. “OOB with assistance for breakfast” B. “Given 2 mg MSO4 IM for report of pain” C. “Dressing changed qd”

D. “Administered 8 u regular insulin sq.”

32. A nurse is preparing to administer eye drops to a school-age child. Identify the actions the nurse should take.(Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
33. Apply pressure to the lacrimal punctum.
34. Ask the child to look upward.
35. Pull the lower eyelid downward.
36. Instill the drops of medication.
37. Place the child in a sitting position.

33. A nurse is caring for a client who speaks a language different from the nurse. Which of the following shouldthe nurse take? A. Request an interpreter of a different sex from the client. B. Request a family member or friend to interpret information for the client. C. Direct attention toward the interpreter when speaking to the client. D. Review the facility policy about the use of an interpreter.
34. A nurse is caring for a client who is in labor and is receiving oxytocin. Which of the following findings indicates that the nurse should increase the rate of infusion? O N THE REPORT needs double checking A. Urine output 20 ml/hr.

B. Montevideo units constantly 300

mmHg.

C. FHR pattern with absent variability. D. Contractions every 5 min that last 30 seconds.

35.A public health nurse is managing several projects for the community. Which of the following interventions should the nurse identify as a primary prevention strategy? A.. Teaching parenting skills to expectant mothers and their partners. B.. Conducting mental health screenings at the local community center.

C. C. Referring client who have obesity to community exercise programs. D. Providing crisis intervention through a mobile counseling unit.

36. A nurse is preparing to administer an autologous blood product to a client. Which of the followingactions should the nurse take to identify the client? A.. Match the client’s blood type with the type and cross match specimens. B.. Confirm the provider’s prescription matches the number on the

bloodcomponent.

C. Ask the client to state the blood type and the date of their last blood donation.

D. Ensure that the client’s identification band matches the number on the blood unit.

37. A nurse is performing physical therapy for a client who has Parkinson’s disease. Which of the following statements by the client indicates the need for a referral to physical therapy? A. “I have been experiencing more tremors in my left arm than before” B. “I noticed that I am having a harder time holding on to my toothbrush” C. “ Lately, I feel like my feet are freezing up, as they are stuck to the ground” D. “Sometimes, I feel I am making a chewing motion when I’m not eating”
38. A nurse is reviewing laboratory data for a client who has chronic kidney disease. Which of the following findings should the nurse expect? A. Increased creatine. B. Increased hemoglobin. C. Increased bicarbonate.

D. Increased calcium.

39. A nurse is administering a scheduled medication to a client. The client reports that the medication appearsdifferent than what they take at home. Which of the following responses should the nurse take? A. “Did the doctor discuss with you that there was a change in this medication?” B. “I recommend that you take this medication as prescribed” C. “Do you know why this medication is being prescribed to you?” D. “ I will call the pharmacist now to check on this medication”

40 A nurse is teaching at a community health fair about electrical fire prevention. Which of the following

information should the nurse include in the teaching?

A. Use three pronged grounded plugs. B. Cover extension cords with a rug. C. Check the tingling sensations around the cord to ensure the electricity is working. D. Remove the plug from the socket by pulling the cord.

41. A charge nurse is recommending postpartum client discharge following a local disaster. Which of thefollowing should the nurse recommend for discharge? A. A 42-year-old client who has preeclampsia and a BP of 166/110 mm Hg. B. A 15-year-old client who delivered via emergency cesarean birth 1 day ago. C. A client who received 2 units of packed RBCs 6 hr. ago for a postpartum hemorrhage. D. A client who delivered precipitously 36 hr. ago and has a second-degree perineal laceration.
42. A nurse in a provider’s office is reviewing the laboratory results of a group of clients. Which to report? A. Herpes simplex. B. Human papillomavirus C. Candidiasis D. C hlamydia

43. A nurse is providing discharge teaching for a group of clients. The nurse should recommend a referral to adietitian A. A client who has a prescription for warfarin and states “I will need to limit how much spinach I eat”.

B. A client who has gout and states, “I can continue to eat anchovies on my pizza.” C. A client who has a prescription for spironolactone and states “I will reduce my intake of foods that containpotassium”. D. A client who has (Unable to read) and states “I’ll plan to take my calcium carbonate with a full glass of water”.

44. A nurse is preparing to measure a temperature of an infant. Which of the following action should the nursetake? A. Place the tip of the thermometer under the center of the

infant’saxilla.

B. Pull the pinna of the infant’s ear forward before inserting the probe. C. Insert the probe 3.8 cm (1.5in) into the

infant’srectum.

D. Insert the thermometer in front of the

infant’stongue.

45. A nurse in a pediatric clinic is teaching a newly hired nurse about the varicella rooster. Which of thefollowing information should the nurse include? A.. Children who have varicella are contagious until vesicles are

crusted.B.. Children who have varicella should receive the herpes zoster

vaccination. C. Children who have varicella should be placed in droplet

precaution.

D. Children who have varicella are contagious 4 days before the first vesicle eruption.

46. A nurse is reviewing the laboratory report of a client who has been having lithium carbonate for the past 12 months. The nurse notes a lithium level of 0.8 mEq/L. Which of the following orders from the provider should the nurse expect?

A. Withhold the next dose. B. Increase the dosage. C. Discontinue the medication.

D. A dminister the medication.

47. A nurse is caring for a client who has fibromyalgia and requests pain medication. Which of the following medications should the nurse administer? A. Pregabalin Lorazepam Colchicine Codeine.
48. A nurse is caring for a client who is to receive a transfusion of packed RBCs. Which of the following actions should the nurse take? A. Prime IV tubing with 0.9% sodium chloride.

Use a 24-gauge IV catheter Obtain filter less IV tubing.

Place blood in the warmer for 1 hr.

49. A nurse is caring for a toddler who has acute lymphocytic leukemia. In which of the following should the toddler participate? A. Looking at alphabet flashcards. B. P laying with a large plastic truck. C. Use scissors cut out paper shapes. D. Watching a cartoon in the dayroom.
50. A nurse is caring for a client who has chronic pancreatitis. Which of the following dietary recommendationsshould the nurse make? A. Coffee with creamer. B. Lettuce with sliced avocados. C. B roiled skinless chicken breast with brown rice. D. Warm toast with margarine.

B.

C.

D.

B.

C.

D.

51. A nurse is preparing to assess a 2-week-old newborn. Which of the following actions should the nurse planto take?

A. Obtain the newborn’s body temperature using a tympanic thermometer. B. (Unable to read) FACES pain scale.

C. A uscultate the newborn’s apical pulse for 60 seconds.

D. Measure the newborn’s head circumference over the eyebrows and below the occipital prominence. (NOT)

52. A nurse is caring for a client who is at 38 weeks gestation, is in active labor, and has ruptured membrane.Which of the following actions should the nurse take? A. Insert an indwelling urinary catheter.

B.. Apply fetal heart rate

monitor. C. Initiate fundal

massage.

D. Initiate an oxytocin IV infusion.

53. A nurse is assessing a client who is 30 min postoperative following an arterial thrombectomy. Which of thefollowing findings should the nurse to report? A.. Chest pain B.. Muscle spasms. C.. Cool, moist skin. D.. Incisional pain.
54. A nurse is completing an incident report after a client fall. Which of the following competencies of Quality

and Safety Education for Nurse is the use demonstrating? A

B. Patient (Unable to read)

C. Evidence based practice.

D. Informatics.

. Quality improvement.

55. A nurse is talking with another nurse on the unit and smells alcohol on her breath. Which of the followingactions should the nurse take? A. Confront the nurse about the suspected alcohol use. B. Inform another nurse on the unit about the suspected alcohol use.

C. Ask the nurse to finish administering medications and then go

home.D. N otify the nursing manager about the suspected alcohol

use.

56. A nurse is caring for a client who has diaper dermatitis. Which of the following actions should the nursetake? A. Apply zinc oxide ointment to the

irritatedarea.

B. (Unable to read) C. Wipe stool from the skin using store bought baby wipes.

D. Apply^ talcum powder^ to^ the irritated^ area.

66. A nurse is reviewing the facility’s safety protocols considering newborn abduction with the parent of anewborn. Which of the following statements indicates an understanding of the teaching? A. “Staff will apply identification band after first bath” B. “I will not publish public announcement about

mybaby’s birth”

C. “I can remove my baby’s identification band as long as she is in my room” D. “I can leave my baby in my room while I walk in the hallway”

57. A nurse is receiving a telephone prescription from a provider for a client who requires additional medicationfor pain control. Which of the following entries should the nurse make in the medical record? A. “Morphine 3 mg SQ every 4 hr. PRN for pain.” B.

“ Morphine 3 mg Subcutaneous (Unable to read)

C. “Morphine 3.0 mg sub q every 4 hr. PRN for pain.”

D. “Morphine 3 mg SC q 4 hr. PRN for pain.”

58. A nurse realizes that the wrong medication has been administered to a client. Which of the following

actionsshould the nurse take first? A. Notify the provider.

B. Report the incident to the nurse manager.

C. M onitor vital signs.

D. Fill out an incident report.

59. A nurse is providing teaching to a client who is experiencing preterm contractions and dehydration. Which